Keeping Ahead of the RACs
Changes announced by the Centers for Medicare & Medicaid Services underscore the need for healthcare organizations to prepare for escalating auditor activity.
Ask the Experts: Medicaid Billing
How should I bill New York Medicaid for services provided by non-hospital employee clinicians in emergency department settings?
Putting Your Financial Team to Work to Maximize MACRA Benefits
Joncé Smith describes how finance leaders can help ready their organizations for MACRA.
Best Practices for Securing and Protecting Patients’ Financial Data
When we think about data breaches, attacks on major retailers often come to mind. Yet, between 2010 and 2015, criminal attacks on healthcare data increased by 125 percent. In 2016 alone, there were 329 significant data breaches exposing more than 16 million records.
Value-Based Care Looming
Tawnya Bosko explains why leaders who have plans to strengthen their bottom line will be better equipped to manage risk and plan for long-term sustainability in a value-based system.
Ask the Experts: The Impact of Stark, Anti-Kickback Laws on ACOs
How are ACOs managing the Stark Law and Anti-Kickback Statute?
Auditing for Stark Law Compliance
Compliance with the Stark Law requires involving legal, compliance, and other expertise on the front end of the process rather than auditing for problems later.
CMS’s 2018 IPPS Proposed Rule and RFI: Signaling the Trump Administration’s Deregulation Agenda
Ken Perez describes the connection between the effort to repeal and replace the Affordable Care Act and a new proposed rule and request for information by CMS.
The Risky Business of RADVs
By identifying some of the factors that set apart those health plans chosen for RADV audits, healthcare organizations can better prepare for their own selection.
How the AHCA’s Failure Could Rekindle the Lost Art of Compromise in Washington
With stalled efforts on both sides of the aisle, it may be time for Democrat and Republican leaders to come together on healthcare legislation.